What To Do When You Can’t Sleep | Sleep Foundation

https://www.sleepfoundation.org/insomnia/treatment/what-do-when-you-cant-sleep

4-7-8 Method6

  1. Place the tip of your tongue near the ridge behind your front two teeth and hold it in this location throughout the breathing exercise.
  2. With your mouth closed, slowly inhale through your nose while counting to four.
  3. Hold your breath while counting to seven.
  4. Open your mouth and exhale while counting to eight. Because of the location of your tongue, exhalation should cause a whooshing sound.
  5. Repeat this 4-7-8 cycle three more times.

Who It’s Great For:

Controlled breathing is excellent for people just getting started with relaxation techniques or who have difficulty using other objects of focus like imagery or mantras.

Meditation and Mindfulness

Why It Works:

Mindfulness is centered around slow, steady breathing and a non-judgmental focus on the present moment. By reducing anxiety and rumination, it has been found to have sweeping health benefits7, including an ability to help reduce insomnia8.

How to Do It: 

There are many variations of mindfulness meditation for different situations. One easy to use style is the body scan meditation9.

  1. Focus on slowly inhaling and exhaling at a comfortable pace.
  2. Notice the position of your body on the bed.
  3. Notice any sensations, good or bad, in your legs and feet. Let your legs be soft.
  4. Continue the “body scan,” observing, from your legs up to your head, each region of your body and its sensations. The goal is to stay present and observe your body without judging or reacting and then letting each part of your body relax.
  5. After scanning each part of your body, reflect on your body as a whole and allow it to relax.

This version is adapted from UC-Berkeley’s Greater Good in Action (GGIA) program that offers audio recordings for this and other mindfulness meditations10.

Who It’s Great For: 

Anyone can meditate, including with mindfulness meditation, but it can take more practice to get used to. As a result, it usually works best for people who can devote at least five minutes per day to increase their comfort with it.

Progressive Muscle Relaxation

Why It Works:

Progressive muscle relaxation11 (PMR) creates a calming effect by gradually tightening and releasing muscles throughout the body in conjunction with controlled breathing.

How to Do It:

  1. With your eyes closed, slowly breathe in and out.
  2. Starting with your face, tense your muscles (lips, eyes, jaw) for 10 seconds, then release your muscles and breathe deeply in and out for several seconds.
  3. Tense your shoulders for 10 seconds and then relax and breathe.
  4. Continue tensing and relaxing the following body parts, skipping any area where tensing the muscles causes pain:
    1. Shoulders
    2. Upper arms
    3. Lower arms and hands
    4. Back
    5. Stomach
    6. Buttocks
    7. Hamstrings
    8. Calves
    9. Feet

Who it’s Great For: 

Studies have found that PMR can help people with insomnia12, and when done carefully, may be beneficial13 for people who are bothered by arthritis14 or other forms of physical pain. PMR is not recommended for people with uncontrolled cardiovascular problems.

Imagery

Why It Works: 

Visualizing a peaceful image from your past and all of its details engages your attention in order to promote relaxation.

How to Do It: 

  1. With your eyes closed and in a comfortable position, think about a place or experience in your past that feels relaxing, such as a quiet natural setting.
  2. While slowly breathing in and out, reflect on the details of this setting and how it looks.
  3. Continue focusing on this image by adding details relating to your other senses (smell, sound, taste, touch) and experiencing the calmness of this mental imagery.

Who it’s Great For:

Visual thinkers who easily recall past scenes replete with details are ideally suited to using imagery as part of their bedtime relaxation.

Are There Downsides to Relaxation Techniques?

Negative consequences are rare for relaxation techniques, but a small number of people find that they can provoke anxiety. Anyone with concerns about trying these methods should talk with their doctor for specific advice before getting started.

What to Do About Mind Wandering

Even experts in meditation find that their minds can wander during these relaxation techniques, so don’t worry if it happens to you. Instead, stay calm, keep breathing slowly, and try to bring your mind back to the main focus of attention.

What If I Still Can’t Fall Asleep?

If you get into bed and cannot fall asleep after 20 minutes, get up, go to another part of your house, and do something soothing, such as reading or listening to quiet music.

Lying awake in bed for too long can create an unhealthy mental connection between your sleeping environment and wakefulness. Instead, you want your bed to conjure thoughts and feelings conducive to sleep.
 

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Pre-Bedtime Tips to Help Fall Asleep Quickly

Before you actually get into bed, a few simple tips can help make sure your mind and body are prepared to fall asleep easily:

  • Wind down for at least half an hour before bedtime. Reading, light stretching, and other relaxing activities are ideal during this time.
  • Disconnect from close-range electronic devices like laptops, phones, and tablets because they can stimulate the brain and make it harder to fall asleep.
  • Dim the lights to help your eyes relax, and make sure you’re in comfortable clothing.
  • Make sure your bedroom is set to a pleasant temperature. The cooler the better.
  • Consider a calming scent, like lavender essential oils, that can generate a calming effect.
  • Avoid big meals, spicy foods, caffeine, and alcohol in the lead-up to bedtime.

Big-Picture Tips to Fall Asleep Easily

Beyond the immediate run-up to bedtime, incorporating fundamental sleep tips can aid in falling asleep and prevent serious sleeping problems.

  • Follow a consistent sleep schedule with the same wake-up time every day, including on weekends. This helps fine-tune and entrain your internal clock for more regular sleep.
  • Make time for physical activity. Regular exercise benefits the body in many ways, and facilitating better sleep is one of them.
  • If you have a hard time sleeping, start keeping a sleep diary to identify trends that could be throwing off your nightly rest.
  • See a doctor. If your sleeping problems are severe, long-term, or worsening, it’s important to see a doctor who can work with you to try to identify a cause and recommend optimal treatment.
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About Our Editorial Team

author
Eric Suni

Staff Writer

Eric Suni has over a decade of experience as a science writer and was previously an information specialist for the National Cancer Institute.

author
Dr. Abhinav Singh

Sleep Physician

MD

Dr. Singh is the Medical Director of the Indiana Sleep Center. His research and clinical practice focuses on the entire myriad of sleep disorders.

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InsomniaUpdated ByEric Suni|October 7, 2022

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